License holder summary

DONALD EUGENE WAGNER is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for DONALD EUGENE WAGNER is SANTA MONICA CA 90404. This licensed professional license is not current. The license was granted 09/12/1963 and expired on 12/31/1988.

Pennsylvania

Department of State

DONALD EUGENE WAGNER
Medical Physician And Surgeon
License number
MD007194E
Date granted
09/12/1963
Date expires
12/31/1988
Class
Medical Physician And Surgeon
Status
Inactive
Address
SANTA MONICA CA 90404
palicensing.org
ID 16629004
LAST UPDATED 2024-02-19 04:01:17 UTC

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